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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

1. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Adhesive capsulitis
B) Glenohumeral synovitis
C) Complex regional pain syndrome
D) Superior labral anterior-posterior lesion

2. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Gouges on the lens material
B) Cracks in the piezoelectric crystals
C) Electrical leakage
D) Dead elements

3. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Increased gain
B) Decreased synovitis
C) Decreased frequency
D) Decreased transducer pressure

4. Which condition is the ultrasound examination of this nodular structure MOST suggestive of?

A) Subcutaneous abscess
B) Gouty tophus
C) Rheumatoid nodule
D) Ganglion cyst

5. This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

A) Chondrocalcinosis
B) Rotator cuff tear
C) Amyloidosis
D) Humeral head fracture

Solutions: